OT General 2 — Questions and Answers
Question 1: Which frame of reference is MOST appropriate for a client with a traumatic brain injury who has difficulty with sequencing daily tasks?
- Biomechanical
- Cognitive Disabilities (Allen) (Correct answer)
- Model of Human Occupation
- Person-Environment-Occupation
Correct answer: Cognitive Disabilities (Allen)
Allen's Cognitive Disabilities frame of reference specifically addresses cognitive processing levels and is widely used with TBI clients to match task demands to current cognitive capacity.
Question 2: During a home evaluation, an OT notices a client with hemiplegia cannot safely transfer from the toilet. The FIRST intervention priority should be:
- Recommending a power wheelchair
- Installing grab bars and a raised toilet seat (Correct answer)
- Prescribing ankle-foot orthoses
- Initiating constraint-induced movement therapy
Correct answer: Installing grab bars and a raised toilet seat
Safety during toilet transfers is a critical ADL concern, and grab bars with a raised toilet seat provide immediate, evidence-based environmental modification to reduce fall risk.
Question 3: A therapist uses the Canadian Occupational Performance Measure (COPM). This tool primarily measures:
- Muscle strength and ROM
- Client-perceived performance and satisfaction with occupations (Correct answer)
- Cognitive status and orientation
- Sensory processing patterns
Correct answer: Client-perceived performance and satisfaction with occupations
The COPM is a client-centered outcome measure that captures self-perception of performance and satisfaction across self-care, productivity, and leisure occupations.
Question 4: Which type of reasoning does an OT use when generating multiple hypotheses about a client's presenting problems and then testing them through evaluation?
- Narrative reasoning
- Pragmatic reasoning
- Diagnostic reasoning (Correct answer)
- Interactive reasoning
Correct answer: Diagnostic reasoning
Diagnostic reasoning involves forming and testing hypotheses about the nature of a client's functional problems, similar to clinical problem-solving.
Question 5: Under IDEA 2004, occupational therapy services in schools must be provided in the:
- Most restrictive environment possible
- Least restrictive environment (LRE) (Correct answer)
- Separate therapy clinic only
- Hospital outpatient setting
Correct answer: Least restrictive environment (LRE)
IDEA mandates that students with disabilities receive services in the least restrictive environment, promoting inclusion with non-disabled peers to the maximum extent appropriate.
Question 6: A client with rheumatoid arthritis asks about joint protection. Which instruction reflects correct joint protection principles?
- Use the smallest joint available for tasks
- Grip objects tightly to maintain control
- Distribute load over larger or multiple joints (Correct answer)
- Avoid all upper extremity activity
Correct answer: Distribute load over larger or multiple joints
Joint protection principles include distributing forces over larger or multiple joints to reduce stress on individual vulnerable joints affected by RA.
Question 7: Which standardized assessment tool is used to measure sensory processing patterns in adults?
- Sensory Profile 2 (Adult) (Correct answer)
- Bruininks-Oseretsky Test of Motor Proficiency
- Box and Block Test
- Purdue Pegboard Test
Correct answer: Sensory Profile 2 (Adult)
The Sensory Profile 2 Adult version is a self-report measure that identifies sensory processing patterns and their impact on daily life in adults.
OT General 2
Which frame of reference is MOST appropriate for a client with a traumatic brain injury who has difficulty with sequencing daily tasks?